Acute Porphyria Drugs

R06AD02 - Promethazine

Probably not porphyrinogenic
PNP

Mono.Rationale
Substrate for CYP2B6 and 2D6. Phenotiazines in general are considered safe in several references.
Mono.ChemicalDescription
High dose phenothiazine used (tabl 5-500 mg/d) as tranquillizer, antiallergic, and against motion sickness. Metabolized by CYPs 2B6 and 2D6, Inhibitor of 2 D6.
Mono.PersonalCommunication
Used in porphyria ward (Sweden).
Mono.IpnetDrugReports
Uneventful use reported in 6 patients with acute porphyria.
Mono.SimilarDrugs
Mono.ExploreAlternatives R06A / R06AD or Mono.GoBack.
Mono.References
# Citation details PubMed ID
1. Effects of antihypertensive drugs on hepatic heme biosynthesis, and evaluation of ferrochelatase inhibitors to simplify testing of drugs for heme pathway induction.
Anderson KE. Biochim Biophys Acta. 1978 Oct; 543(3):313-27.
708789
2. Management of acute attacks in the porphyrias.
Kalman DR, Bonkovsky HL. Clin Dermatol. 1998; 16(2):299-306.
9554242
3. Drugs in the acute porphyrias--toxicogenetic diseases.
Moore MR, Hift RJ. Cell Mol Biol (Noisy-le-grand). 1997 Feb; 43(1):89-94.
9074793
Porphyria Drug Lists
4. French List
Centre Français des Porphyries
5. South African List
Porphyria South Africa No longer maintained
Mono.Tradenames

Phenergan · Sominex Avomine · Brunazine · Lenazine · Phenergan · Prohist · Promethazine Promethazine Pipolphen Fadezin · Farganesse · Prometazina Avomine · Phenergan · Phenergan Nightime · Promethazine · Promethazine hydrochloride · Promethazine teoclate · Sominex · Vertigon · Ziz · Ziz Forte Phenergan · Prometazin Farghess · Lergigan · Phenergan · Phénergan · Prometazin · Promethazin · Promethazine Phenergan · Promethazin Diphergan · Polfergan Allersoothe · Avomine · Goodnight · Meth-Zine · Phenercalm · Phenergan · Promethazine · Prozine Axcel Promethazine · Promagen · Promethazine · Promezine · Prozine · Votazine · Xepagan Histantil Phenergan Phenergan · Prometazin Promethazine Promethazine Prothazin Prometozine
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